CAMELOT OF VIRGINIA LLC NPI 1083800593

NPI Information

NPI: 1083800593
Provider Name: CAMELOT OF VIRGINIA, LLC

Doing Business As: ROANOKE GROUP HOME

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
1729 PATTERSON AVE SW
ROANOKE, VA
ZIP 24016
Phone: (540) 345-4533
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CAMELOT OF VIRGINIA, LLC is a community based residential treatment facility mental illness in Roanoke, VA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. CAMELOT OF VIRGINIA, LLC NPI is 1083800593. The provider is registered as an organization entity type.
The provider Is Doing Business As Roanoke Group Home.

The provider's business location address is:

1729 PATTERSON AVE SW
ROANOKE, VA
ZIP 24016-105
Phone: (540) 345-4533

The provider's authorized official is Grayson Harcourt .
The authorized official title is Business Office Director and has the following contact phone number (512) 858-9900.

The enumeration date for this NPI number is 9/18/2007 and was last updated on 9/18/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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